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Summary Description and Clinical Pharmacology Indications and Dosage Warnings and Precautions Side Effects and Adverse Reactions Drug Interactions, Overdosage, Contraindications, Other Rx Info Active Ingredients User Ratings / Reviews Side Effect Reports Below are Levitra (Vardenafil) reviews, ratings, comments submitted by patients and caregivers. Based on a total of 4 ratings/reviews, Levitra has an overall score of 9. The effectiveness score is 9 and the side effect score is 10. The scores are on ten point scale: 10 - best, 1 - worst. This information is not vetted and should not be cosidered as clinical evidence. For me it lasts a long time, even into the next morning, BUT it seemed to take longer, on me anyway, than Viagra did, more like 2 hours before it worked at all. I would recommend this to anyone that does not need it to take effect quickly. Had to take an extra 1/2 pill in addition to prescribed dose of 1/2 pill per event, usually night before in order to achieve satisfactory benefit of performance. The most common medications used to treat erectile dysfunction (ED) are Viagra, Cialis, Sildenafil, and Levitra. They belong to a class of drugs called phosphodiesterase 5 inhibitors (PDE5 inhibitors), which will be explained below. An erection occurs when someone is stimulated by an erotic thought or sexual contact. That leads to a series of chemical reactions in the blood vessels of the penis that results in 6 times the blood flow getting trapped in the penis. An erection might last indefinitely if it weren’t for chemicals called phosphodiesterases. They work at reversing the process that keeps the penis erect. Usually there is a balance between the chemicals that cause an erection and those that would return the penis to being flaccid. 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